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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,Wp 88201 •259-8810 <br /> ❑ DEMOUTION O COMBINATION � l O BUILDII: ❑ MECNANICAL ❑ PLUMBING ❑ SIGN <br /> PROJEC7 ADDRESS_ `��2L �Q�- /� � � <br /> <i <br /> �l�(lAl K S1�lPm9 8�.: t l. �!'FOrti :Jo 4 34f- 93>.Z <br /> vn-rtn u.n•ou+css <br /> an rp — <br /> 1CMu�l YNWCUESS <br /> f�b i�e ou(ME <br /> I.�CI�1I[CIMCCSIGNEN Y1�lMMi[55 CIM1 lil� f'NWE <br /> �tJNl� <br /> G[MIw�cOvinKlon uulepon6s Ory !�r nx➢�[ SI�tEtiC[rv5t� <br /> YfCNwR�I LO41Pr,Cip1 MUl�Wn[55 Oh I�P Vlbu( SLIE uCENSf� <br /> vwueiNGCdimqtOc 4ul/.OpuESS Gry j�p p�qrvE <br /> ` � 511�f IICFNS[� <br /> co�.m+c�nmceorwrn� ' �,�./ L Re rr-t��s <br /> 9C�0 . ,.„a , �( y .�,,, HEATING SYSTEM: �1 GAS ❑ELECTRIC ❑ <br /> D[XPiBEWJ�xANp5q1�PE 1 EWVClVFO CON��[�Mn50N1NOl'MprENV <br /> qAf/U k JNN�'n�A (4JSI^Z9Y- �S'Jj <br /> P�r� �r 64s-siss <br /> t/NCLE r(jM���`� �ESlQC/VCE � �!EPEOY CERTIFY TMAT 1 MAVE READ ANO E%AMINED TNIS <br /> rnarosm usf�ar em rro �PPLIC�TION AND KNOW THE SAME TO BE TRVE AND CORRECT ALL <br /> PROVISIONS OF L�WS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �fcuoeun�nuawrnw�cnttivqwxt[iowon�ne�H�com[s� WORA WILI BE COMP�IED WITH WHETHER SPECIFIEU HEREIN OR <br /> 1n DIOT. THE GA�NTINO OF A PERMIT DpES NOT PRESUME TO GIVE <br /> mt .�_�ip�a q NBnr'A(•Rirti ��U .1 AUTHORITY TO VIO�ATE OF CANCEL THE FROVISION OF ANY <br /> OTHEf1 STATE ON LOCRL LAW REGUUTINO CONSTRUCTION OR THE <br /> PEFFORIA�NCE OF GONSfPUCTION.THAT I AM�VTNOPRED BY TNE <br /> OWNER UF TMIS PROPEHTY TO PERFORM TNE WORK FOR WHICN <br /> APPIICATIDN IS MADE AND I COMPLV WITM TME STATE <br /> wncei tu i o rnrvetn �� ��{� WNTRACTORS lAW IB2]RCW AND Y96.¢00 WAC. <br /> — i�� :� ��L/.� 'fL� �` <br /> COH5�1111.�IO410411ENCFN..�p�E55.IflENILNEMNIIf11 % I V 1��� //�/� / <br /> ld- IL I <br /> SIG4�1�1111 �IF <br /> L�h Po5�NE551¢EMSC xp <br /> PLUNbINO MECNANIC�L <br /> NO. 7YPC OF FlIITURE OR ITEY FEE N0. iYPE OF EOUIPMEI�T FEE <br /> 2 WATERCLOSET�TOILET� / NO—/yNN�LGUNITS <br /> / B�THTU� / FORCEOAIRSYSTEMS <br /> � UVAiOflY(WASHBASIN) / NEATPUMP <br /> I SHOWER / UNITHEATERS — <br /> KITGHEN SINK 8 OISP CLOTMES DRYERS <br /> DISMWASHER RANGE NOOD <br /> LAUN�RY TR�Y WATER HEATER <br /> _ GLOTNESWASHER WpppSTOVE �— <br /> URINA� MEIAL PIREPLACE(WOOD BURNING) �— <br /> DqINNING FOUNTAIH FIREPIACE INSERT�VOOD BURNING) <br /> FIOOR ORRIN GA$FIREPLACE <br /> OACNFiO W PPEVENTERS GAS RANGE — <br /> _ SINN(5[RVICE—BAR.ETC.) GAS PIPING <br /> j E%HAUSTFAN <br /> � <br /> SUBTOTAL 5 SUBTOTAL f <br /> _ PERMIT S PERMIT t <br /> TOTRIFEE S �y��/'( " 7pTAlFEE f <br /> FOR OFFICE USE ONLY: 3y� �� <br /> fRON�5EfP4x �G�SE114� S�IXSEIPKK PI�NGifCnNW�T IIF_/ -1` p(f.[II`INO <br /> � Lt. / � � � <br /> �I[I:OY[ .7 IO�I.11I� v <br /> vice�rts��f FEES VALUATION <br /> FEE <br /> � � �7 �/ [lrEs -- —�— <br /> — nmimvr. 8$S .59r� I�':� <br /> �a,-:nuu�.tniio�� � rqaow[luNc s�2EorolU5n1 — <br /> ,:'xr ' IINi�t ' Iy11u01x0 <br /> � / 0 S' �'� <br /> �• ��.��r r..�rcsirv�u �xcuren�m+o enxue�n � urc�uatu <br /> �1 Z o.cs Wn _ __%?;oL <br /> �,��cs�w.un�[nnro�o nensw nnp�Mr�nnewo�rr.n 7r7 :./ �� !�� <br /> — _�_ <br /> on¢n <br /> � .-�+.�AIqE00 PfI.FCN <br /> su�c nanovm sunnunr.[ (� <br /> ��i � tovs� nnr��rm��e[nor --- --�—✓=� <br /> CITYOFEVERETT ��om¢,mn�.s <br /> �1 LOCALSALES T— <br /> __-}- 'l.1�_._. _ .L�n'.f�1G��/� TAYCOnEISJ105 torAl_ 'P�_' _�____�^3 � f��.. <br />